Showing posts with label malnutrition. Show all posts
Showing posts with label malnutrition. Show all posts

Thursday, 1 November 2012

Education for All - A Focus on Nutrition


According to this year's EFA Global Monitoring Report, early childhood is the 'critical period' in which the foundations for success in education and beyond should be put in place.

The report is important because it highlights that education is not solely about making sure children can attend school but are provided with the support and opportunities that will allow them to prosper in later life.

This article will focus on Goal 1 of the report which aims to expand and improve comprehensive early childhood care and education, by looking specifically at the importance of nutrition in young children's development.

© UNESCO / Ghana / CAMFED

In a recent interview at the 4th OECD World Forum in Delhi, David McNair of Save the Children emphasized the threat that malnutrition poses to children:

“This is a problem which is hidden. It is the killer of 2.3 million children every year and there is an additional 170 million children whose physical and cognitive development is stunted because they don’t receive the right nutrients in the early stages of life.”

Despite a decline in the global number of deaths of children under five from 12 million in 1990 to 9.6 million in 2000 and 7.6 million in 2010 (EFA 2012), this drop is not sufficient if the fourth Millennium Development Goal of reducing child mortality by two-thirds by 2015 is to be met. In 2005 the WorldHealth Organization reported that more than half of all deaths among children are caused by malnutrition. It is therefore arguable that if governments seek to provide adequate quantities of higher quality food with more micronutrients, child mortality levels may drop to the targeted percentage.

Alongside mortality rates, stunting is the most appropriate measure of childhood malnutrition. Current trends reveal that by 2015 as many as 157 million children will suffer from stunting (EFA 2012). Broken down that is one in four children under the age of five. Stunting results in increased susceptibility to disease but also undermines a child's future potential, on a wider this can have associated economic effects for a country both in medical costs and in the creation of a depleted, unskilled workforce.

While the physical implications of malnutrition on children are clear, the cognitive effects should not be overlooked. In a press release for the their research report no. 18 (2006), the Centre for Research on the Wider Benefits of Learning wrote:

“The diet of children has risen to the top of the political agenda, not only for the potential health repercussions later in life, but also for its immediate effects on mental health of children and their consequent school experience and attainment.”

Malnutrition, through lack of both macronutrients and certain micronutrients has long-term negative impacts on brain and nerve development and function, including on mental skills and activity, and the acquisition of skills needed to interact well socially. This damage is often reflected in lower IQs and poorer performance at school (Save the Children). In the same way that physical stunting has economically related costs, cognitively stunted youths will struggle to enter a country's workforce. An example of this can be seen in Sub-Saharan Africa, an area that arguably sees the highest levels of malnutrition in children (EFA, 2012), where only 10% of jobs are available to young people. According to the OECD's  Promoting Youth Employment in Africa about 133 million young people are illiterate; while poverty and poor education facilities are catalysts to this problem, malnutrition almost certainly lays the foundations for it.

© UNESCO / Bangladesh

It is evident that progress has been made in the global drive to tackle malnutrition, however, by assessing these gains on such a wide level, areas where progress has been slow may get overlooked. Ironically, these areas are arguably where the most progress needs to happen. If we are to take the example of Sub-Saharan Africa, where 25 of the 28 countries with child mortality rates above 100 per 1000 live births are located (EFA, 2012), there has actually been an increase in child stunting from 38 million in 1990 to 55 million in 2010. According to UNICEF, “Children marginalized by poverty, rural location have benefited least from progress.” Malnutrition is rooted in poverty and deprivation. At a time where food prices are sharply rising poor people are likely to suffer the most since they wont be able to buy food even when it is available. The EFA report reveals that in more than two-fifths of the eighty-eight countries with accessible data, the difference between in stunting rates between rural and urban children was more than ten percent.

It is important to note that strong economic growth does not necessitate improvements in nutrition among children. While India has experienced exponential growth over the last decade, there has been little progress made in improving nutrition. Stunting rates have remained high and almost half of children under five are malnourished, a statistic that the Indian Prime Minister Manmohan Singh has decried as a “national shame.” (EFA, 43)

There is evidently a long way to go if the issue of malnutrition in children is going to be countered. While there are signs of progress, it is too slow and uneven. Judging by current rates, only 11 of the 65 countries with more than 40 child deaths per 1000 live birth will reach their Millennium Development Goal targets (EFA 40). Without proper nutrition, children around the world are struggling to achieve their full potential and this reduced productivity will weaken economic growth. David McNair stipulates that if we are to prioritise this issue then "we need to have the right metrics and statistical systems in place to ensure that government's are held to account for the progress that is being made." The EFA Global Monitoring report goes someway in allowing us to ascertain where particular improvements need to be made.

Robbie Lawrence, Wikichild Coordinator
 


Wednesday, 16 May 2012

The connection between mother and child well-being


On May 13, the second Sunday of the month, many countries throughout the world - Cuba, United States, Australia, Bangladesh, Papua New Guinea, the Netherlands, Zambia, Honduras and Greece - paid tribute to mothers and their role in society by celebrating Mothers Day.

Despite the diversity of these countries in terms of their culture, languages spoken, history and economic wealth, one common element present within them and the world over is the importance of the role of mothers in children’s development. As documented in the Save the Children report ‘Nutritionin the First 1,000 Days, State of the World’s Mothers 2012’ the quality of children’s lives is dependent on the health, security and well-being of mothers. Providing mothers with access to education, income earning opportunities, maternal and child health care gives them and their children the best chance of survival and quality development.

The report applies a ‘Mother’s Index’ and ranks countries based on results. The index is constituted of a composite of separate objective indices for women’s and children’s well-being - which grouped into the broader areas of women’s health status; educational, economic and political status; children’s well-being - include female life expectancy, under 5 mortality rates, primary and secondary school enrolment, maternity leave benefits and ratios of male to female income earned. 

Applied to 165 countries (43 developed nations, 122 in the developing world) the index revealed stark differences between the situation for mothers in developed countries and those in the developing world with Norway ranked as the best place to be a mother and Niger the worst. The index reveals the severe inequality between countries and the degree to which mothers and their children, can and do, survive and thrive throughout the world.

The results of these objective indices are vital for revealing existing gaps and dangers, specifically related to child nutrition, and effectively focus on women as actors for change. In terms of the other aspects of children’s integral development (cognitive, socio emotional, spiritual and physical), the role of mothers is equally important and subjective as well as objective indicators of well-being are an effective way of measuring this and the situation for mothers and children beyond their mere survival.

Throughout the world mothers are the primary family caregivers and from Manhattan to Kinshasa, their emotional well-being, as well as their physical health, is highly important to the creation of a positive environment for children’s growth and development and therefore their long term well-being. Scientific studies show that children who grow up in a positive environment tend to have greater mental and emotional health throughout the course of their lives. Additionally, the maintenance of positive emotions during early childhood has an effect on self esteem and behaviour (Reynolds, 2007 & Stark 2002).

The application of subjective indicators such as those employed in the Canadian Index of Well-being - living standards, time use, community vitality, democratic engagement, and leisure and culture – would help to better ascertain how they feel about themselves, their lives, responsibilities as caregivers and their capacity to fulfil them. Such an approach would allow for insight into barriers that may hinder women’s well-being and the development of their children, for example the burden of caregiver responsibility that they carry and how without support opportunities for income generation, furthering education and free time for mothers are impeded affecting their economic, emotional and physical well-being and, their ability to breastfeed and the societal and cultural attitudes towards breast feeding.

Such detail can help to identify where greater supports are required for the benefit of mothers and in turn that of their children.

Reynolds, A., J. Temple, S. Ou, D. Robertson, J. Mersky, J. Topitzes y M. Niles (2007). Effects of a Preschool and School-Age Intervention on Adult Health and Well Being: Evidence from the Chicago Longitudinal Study. Paper presented at the biennial meeting of the Society for Research in Child Development, March 30, 2007, Boston, MA.
Stark, I. (2002). Engaging and Supporting Parents and Providers throughout A Continuum of Children´s Mental Health Services. Child Care Bulletin, spring (25), p. 7.

Friday, 3 February 2012

The week in review

Hello, glad you could join us for the Wikiprogress week in review - a handful of headlines that have caught our eyes over the last week. You can find all news articles and blog posts on the progress community in the Wikiprogress Community Portal .    

On wikis
2012 Top 100 NGOs: #1 Wikimedia Foundation (The Global Journal 26.01.2012)
The Wikimedia Foundation is best known for its most famous initiative, Wikipedia. The Foundation operates under the belief that information is a not-for-profit commodity; the Wikimedia Foundation has been instrumental to the global phenomenon of user-generated content and the mass sharing of information.
See more and contribute to the Wikiprogress article on wikis

On growth and development
Sustainable Humanity (Project Syndicate 31.01.2012)
Developmental Economist Jeffrey Sachs calls for the mobilisation of new technologies shaped by social values in ensuring sustainable development incorporates equality in economic growth and protection of natural resources.
See more and contribute to the Wikiprogress article on sustainable development

On measuring progress
The OECD recently produced the video, How’s Life: Measuring Progress – asking experts, “What well-being and sustainability measures are needed to go ‘Beyond GDP’”?
See more and contribute to the Wikiprogress article on the Better Life Initiative






On social development
UN Commission on Social Development kicks off with focus on poverty and youth (UN News Centre 02.02.2012)
In 2011 there were 75 million youths without a job; UN figures show that young people are three times more likely to be unemployed than adults. Over the next 10 days the UN Commission on social development will focus on youth unemployment, poverty eradication and socially inclusive policies.
See more and contribute to the Wikiprogress article on employment rates

On gender equality
Land rights for women can help ease India’s child malnutrition crisis (Guardian 20.01.2012)
India has developed significantly over the past decade; however malnutrition rates are among the worst in the world with 45% of children under 5 suffering from malnutrition. New research shows that allowing women ownership of the land they farm could drastically reduce these figures.
See more and contribute to the Wikigender article on access to land

In the Spotlight: UN High Level Panel Report on Global Sustainability - Resilient People, Resilient Planet: A Future Worth Choosing (United Nations 30.01.2012)

A 22-member Panel was established by the Secretary-General in August 2010 to formulate a new blueprint for sustainable development and low-carbon prosperity. The Panel's final report, "Resilient People, Resilient Planet: A Future Worth Choosing", contains 56 recommendations to put sustainable development into practice and to mainstream it into economic policy as quickly as possible.
Read more and contribute to the Wikiprogress article on sustainable development.


We hope you will tune in the same time next week. In the meantime, if anything interesting passes your desk that you would like to see in the next Wikiprogress week in review, please tweet it to us  @Wikiprogress  or post it on our  Facebook page

Yours in progress,

Philippa Lysaght